Erichsen Family Chiropractic & Wellness Center PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00560500 Issued in NJ

Legal business name

ERICHSEN FAMILY CHIROPRACTIC & WELLNESS CENTER PA

Practice address

175 Fairfield Ave
Suite 5a
West Caldwell, NJ 07006-6425

Phone

(973) 226-3390

Fax

(973) 226-3397

NPI assigned

Mar 23, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott Erichsen, DCNPI 1841321494

Title

Owner/Chiropractor

Phone

(973) 226-3390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Erichsen, D.C.

  • Chiropractor
  • Caldwell, NJ
  • NPI 1841321494
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1689998429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FAIRFIELD AVE",
            "address_2": "SUITE 5A",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066425",
            "telephone_number": "973-226-3390",
            "fax_number": "973-226-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FAIRFIELD AVE",
            "address_2": "SUITE 5A",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066425",
            "telephone_number": "973-226-3390",
            "fax_number": "973-226-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICHSEN FAMILY CHIROPRACTIC & WELLNESS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "ERICHSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "973-226-3390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00560500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.